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SU0014945
EnvironmentalHealth
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2600 - Land Use Program
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SA-96-35
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SU0014945
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Entry Properties
Last modified
6/14/2022 7:00:40 PM
Creation date
6/7/2022 11:42:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014945
PE
2600
FACILITY_NAME
SA-96-35
STREET_NUMBER
250
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
95330-
ENTERED_DATE
5/23/2022 12:00:00 AM
SITE_LOCATION
250 ROTH RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ENVIRONMENTAL INFORMATION FORM <br /> 11. Please include a copy of any studies (soils, geology, marketin& &5c�at you may have had <br /> prepared for this project or project ro'ect site. Copies attached: No CR' Yes � <br /> C. PROTECT CHARACTERISTICS <br /> 1. Services: Indicate how the following services will be provided for your project and <br /> availability of service. <br /> a. Water Supply: <br /> b. Sewage Disposal: <br /> C. Storm Drainage: <br /> If an extension of any of the above is necessary, indicate which service(s), what agency will <br /> be providing the service(s), and the distance of the extension(s): <br /> d. Natural Gas: <br /> e. Electricity: E G A, <br /> f. Road/Access (i.e., paved, unpaved, public/private, road name ): <br /> g. Fire: M IS R- Distance to nearest fire station: l),ws?o A) <br /> h. Schools: A) 1Z"el 0- <br /> L Telephone: (7a-<— O <br /> 2. Describe any site alterations which result from the proposed project (specifically address the <br /> amount and location of grading, cuts and fills, vegetation removal, alterations to drainage, <br /> removal of existing structures, number of trees removed, etc.): <br /> 3. Air Quality Information: <br /> a. Number and type of vehicles associated with completed project <br /> 1:i"ft^v 4)a JOr5 <br /> 4 <br />
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